Average Medical Assistant Salary in TexasNo State Income Tax

Medical Assistants in Texas earn an average of $39,897 per year across 5 metro areas. This is +5.0% lower than the national average.

Average Salary

$39,897

per year

Hourly Rate

$19.18

per hour

vs National

-5.0%

$42,000 national

Salary Range

$26,265

to $57,621

About Medical Assistant Careers in Texas

Medical assistants are versatile allied health professionals who perform both clinical and administrative duties in physician offices, outpatient clinics, urgent care centers, and ambulatory surgery centers — serving as the operational backbone of the modern clinic. On the clinical side, they take vital signs, prepare patients for examinations, assist physicians during procedures, administer medications and injections, perform phlebotomy, process lab specimens, and apply dressings. On the administrative side, they schedule appointments, verify insurance, manage electronic health records (EHR), handle patient check-in and check-out, and process prior authorizations. With a national median salary of $42,000 (BLS, May 2023), medical assisting offers an accessible entry point into healthcare without requiring a four-year degree — and strong career laddering opportunities into nursing, healthcare administration, and clinical specialist roles. Employment is concentrated heavily in primary care, internal medicine, pediatrics, and multi-specialty group practices.

In Texas, medical assistants earn an average of $39,897 per year as of 2026, with salaries ranging from $26,265 for entry-level roles to $57,621 for the most experienced professionals — +5.0% below the national average. Pay is influenced most by certification — cma (aama) or rma (amt) credential holders earn 5–15% above uncertified medical assistants; certification also improves access to hospital-system positions with substantially better pay and benefits, specialty setting — dermatology, plastic surgery, ophthalmology, orthopedics, and cardiology mas typically earn above primary care mas, reflecting higher procedure volumes and specialized skill requirements, and the specific metro area within Texas.

Cost of Living Adjusted Salary

Nominal Salary

$39,897

Cost of Living Index

93

100 = national average

Adjusted Salary

$42,900

purchasing power equivalent

After adjusting for Texas's cost of living (below average), a Medical Assistant's salary of $39,897 has the purchasing power of $42,900 in an average-cost area. Additionally, Texas has no state income tax, further increasing take-home pay.

Medical Assistant Salary by City in Texas

CityMedian SalaryHourly RateEntry Level (P10)Senior (P90)Employment
Austin, TX$43,290$20.81/hr$27,710$61,665705
Houston, TX$42,400$20.38/hr$28,050$60,371874
Dallas, TX$40,984$19.70/hr$27,486$60,502836
San Antonio, TX$38,086$18.31/hr$24,991$54,622606
El Paso, TX$34,724$16.69/hr$23,087$50,943729

Source: Bureau of Labor Statistics OEWS Survey, 2026. Sorted by median salary (highest first).

Texas vs National Average

Medical Assistant Salary Comparison

Texas Average$39,897
National Average$42,000
Difference-$2,103 (-5.0%)

Employment in Texas

There are approximately 3,750 Medical Assistants employed across 5 metro areas in Texas.

Key Industries: Energy & Oil, Technology, Healthcare

State Income Tax: None (tax-free state)

Medical Assistant Salary Range in Texas

Entry Level (10th Percentile)

$26,265

Starting salary for new Medical Assistants

Median (50th Percentile)

$39,897

Mid-career Medical Assistant salary

Senior (90th Percentile)

$57,621

Top earners in the field

Medical Assistant Salary in Neighboring States

Compare Medical Assistant salaries in Texas with nearby states to find the best opportunities.

Frequently Asked Questions

What is the average Medical Assistant salary in Texas?

The average Medical Assistant salary in Texas is $39,897 per year ($19.18/hour) based on 2026 data across 5 metro areas. This is 5.0% below the national average of $42,000.

What is the highest paying city for Medical Assistants in Texas?

Austin, TX is the highest paying city for Medical Assistants in Texas, with a median salary of $43,290 per year. The lowest paying metro area is El Paso, TX at $34,724.

What is the salary range for Medical Assistants in Texas?

Medical Assistant salaries in Texas range from $26,265 (entry-level, 10th percentile) to $57,621 (experienced, 90th percentile). The median salary is $39,897 per year.

About This Data

Salary data is sourced from the U.S. Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey. State-level averages are calculated from metro area data within Texas. Figures represent 2026 estimates and may not reflect all employers or self-employed workers. Cost of living adjustments use regional indices to provide purchasing power context.